Texas > Statewide > Alcoholic Beverage Commission
Application For Destruction Of Alcohol Beverages C-716 - Texas
| Application For Destruction Of Alcohol Beverages Form. This is a Texas form and can be used in Alcoholic Beverage Commission Statewide . |
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FORM C-716 (12/2009) APPLICATION FOR DESTRUCTION{PRIVATE } OF ALCOHOLIC BEVERAGES Date: Trade name: Address: Telephone Number: ___ _______ CLP Number: ____________________________ ____ City: ________________________ Fax Number: ______________________________ This is a request to destroy alcoholic beverages. The alcoholic beverages to be destroyed are shown on one of the following exhibits: · · · Exhibit A Beer Exhibit B Ale or Malt Liquor Exhibit C Distilled Spirits and/or Wine (Check one item only) The destruction is scheduled to take place on _______________________________ at _______ The destruction will take place at the following location: a.m./p.m. Location Name: _____________________________________________________________________________ Street Address: _____________________________________________________________________________ City: ______ State __________________________________ Method of Destruction: _______________________________________________________________________ Reason for Destruction: _______________________________________________________________________ __________________________________________________________________________________________ The information contained in this application for destruction is true and correct to the best of my ability. _________________________________________________ Signature _________________________________________________ Print or Type Name Title APPROVED: __________________________________________________________________________________________ TABC Representative -1American LegalNet, Inc. www.FormsWorkFlow.com Date INSTRUCTIONS SEE REVERSE SIDE FORM C-716 (12/2009) DESTRUCTION OF ALCOHOLIC BEVERAGES INSTRUCTIONS 1. 2. Prepare a separate form for distilled spirits and wine, beer, or ale and malt liquor. A copy of this form must be sent to your nearest Texas Alcoholic Beverage Commission office by mail or facsimile. Written approval for the destruction must be received from that office at least three working days prior to the destruction. A copy of this form with the written approval will become a part of the affidavit prepared by a representative of your company who witnessed the destruction. This affidavit and attachment will be sent to the T.A.B.C. headquarters office in Austin with the monthly tax report on which the destruction exemption is entered. A copy of the form and affidavit prepared by your employee should be retained in your files. If the merchandise was destroyed off your licensed premises, a receipt signed and dated by a representative of the landfill or other location where the merchandise was destroyed is also attached to your file copy and retained in your files. 3. 4. Exhibit A Beer to be Destroyed (Separate forms must be prepared for beer or ale and malt liquor.) 5. 6. "Brand" refers to the name reflected on the product label. "Packages to be Destroyed" refers to the number of containers per package and the size of the container (i.e. ½ bbl., 24/16 oz., 24/12 oz., etc.). List the number of cases under the proper size on the exhibit. If less than a case is destroyed, show the bottles destroyed as a fraction of the original case size (e.g. 6 twelve ounce bottles destroyed which were out of a 24/12 oz. case will be shown as 6/24 under the 24/12 oz. column.) "Miscellaneous Sizes" show any package sizes destroyed that are not preprinted (i.e. 12/12 oz., 48/7 oz., etc.). "Total" show totals for any package sizes that have entries. Additional exhibits may be used if destruction size requires it. Any additional pages used should be numbered 1 of 3, 2 of 3, etc. and a grand total of all pages must be shown. 7. 8. 9. Exhibit B Ale or Malt Liquor to be Destroyed (Separate forms must be prepared for beer or ale and malt liquor.) 10. 11. " Brand" refers to name reflected on the product label. "Packages to be Destroyed" refers to the number of containers per package and the size of the container (i.e. ½ bbls., 24/16 oz., 24/12 oz., etc.). List the number of cases under the proper size on the exhibit. If less than a case is destroyed, show the bottles destroyed as a fraction of the original case size (e.g. 6 twelve ounce bottles destroyed which were out of a 24/12 oz. case will be shown as 6/24 under the 24/12 oz. column.) "Miscellaneous Sizes" show any package sizes destroyed that are not preprinted (i.e. 12/12 oz., 48/7 oz., etc.). -2American LegalNet, Inc. www.FormsWorkFlow.com 12. FORM C-716 (12/2009) DESTRUCTION OF ALCOHOLIC BEVERAGES INSTRUCTIONS 13. 14. "Total" show totals for any package sizes that have entries. Additional exhibits may be used if destruction size requires it. Any additional pages used should be numbered 1 of 3, 2 of 3, etc. and a grand total of all pages must be shown. Exhibit C Distilled Spirits and/or Wine to be Destroyed 15. "Class of Beverage" should indicate distilled spirits, low wine, high wine, sparkling wine, or distilled spirit miniature. "Cases or Bottles" should indicate the number of cases to be destroyed. If items to be destroyed are less than one case indicate the number of bottles to be destroyed. "Bottle Size" indicates the size container in which the distilled spirits or wine is packaged (750 ml., liter, 1.75 ltr., etc.). "Bottles per Case" indicates the number of bottles in each case to be destroyed. If the items shown in the column titled "Cases or Bottles" are bottles, leave this column blank for that item. "Wine Gallons Per Unit" represents the wine gallons per case if cases are used in the column titled "Cases or Bottles" or the wine gallons per bottle if bottles were use. This column is left blank if "Class of Beverage" reflects distilled spirits miniatures. The four columns shown under "Wine Gallons" should reflect the product of the amounts entered "Cases or Bottles" times "Wine Gallons Per Unit". The product should be entered in the column corresponding with the entry in the column titled "Class of Beverage". "Distilled Spirits Miniatures" should reflect the total number of bottles of distilled spirits miniatures to be destroyed. This total will be the product of the entry in the column titled "Cases or Bottles" multiplied by the amount entered under the column titled "Bottles Per Case". 16. 17. 18. 19. 20. 21. -3American LegalNet, Inc. www.FormsWorkFlow.com EXHIBIT A BEER TO BE DESTROYED Packages to be Destroyed 1/2 bbl 12/32 oz 24/16 oz 24/12 oz Miscellaneous Sizes Brand TOTAL -4American LegalNet, Inc. www.FormsWorkFlow.com EXHIBIT B ALE
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